Why does a person die? The most common causes of death. Causes of sudden human death

Sudden death due to cardiac causes: from acute coronary insufficiency and others

Sudden cardiac death (SCD) is one of the most severe cardiac pathologies, which usually develops in the presence of witnesses, occurs instantly or in a short period of time and has as the main cause the coronary arteries.

The factor of surprise plays a decisive role in making such a diagnosis. As a rule, in the absence of signs of an impending threat to life, instantaneous death occurs within a few minutes. A slower development of the pathology is also possible, when arrhythmia, heart pain and other complaints appear, and the patient dies in the first six hours from the moment of their occurrence.

The greatest risk of sudden coronary death is observed in people 45-70 years old who have some form of disturbances in the blood vessels, heart muscle, and its rhythm. Among young patients, there are 4 times more men; in old age, men are susceptible to pathology 7 times more often. In the seventh decade of life, gender differences are smoothed out, and the ratio of men and women with this pathology becomes 2:1.

Most patients experience sudden cardiac arrest at home; a fifth of cases occur on the street or on public transport. In both places there are witnesses to the attack who can quickly call an ambulance, and then the likelihood of a positive outcome will be much higher.

Saving a life may depend on the actions of others, so you cannot simply walk past a person who has suddenly fallen on the street or lost consciousness on a bus. You need to at least try to carry out a basic one - indirect cardiac massage and artificial respiration, having first called doctors for help. Cases of indifference are not rare, unfortunately, and therefore the percentage of unfavorable outcomes due to late resuscitation occurs.

Causes of sudden cardiac death

the main cause of SCD is atherosclerosis

The causes that can cause acute coronary death are very numerous, but they are always associated with changes in the heart and its blood vessels. The lion's share of sudden deaths is caused when fatty tissues form in the coronary arteries, obstructing blood flow. The patient may not be aware of their presence and may not make any complaints as such; then they say that a completely healthy person suddenly died of a heart attack.

Another cause of cardiac arrest may be acutely developed, in which proper hemodynamics are impossible, the organs suffer from hypoxia, and the heart itself cannot withstand the load and.

The causes of sudden cardiac death are:

• Cardiac ischemia;
• Congenital anomalies of the coronary arteries;
• arteries with endocarditis, implanted artificial valves;
• Spasm of the arteries of the heart, both against the background of atherosclerosis and without it;
• for hypertension, defect,;
• Metabolic diseases (amyloidosis, hemochromatosis);
• Congenital and acquired;
• Heart injuries and tumors;
• Physical overload;
• Arrhythmias.

Risk factors have been identified when the likelihood of acute coronary death becomes higher. The main such factors include ventricular tachycardia, a previous episode of cardiac arrest, cases of loss of consciousness, previous cardiac arrest, and a decrease in the left ventricle to 40% or less.

Secondary, but also significant conditions under which the risk of sudden death is increased are considered concomitant pathologies, in particular diabetes, obesity, myocardial hypertrophy, tachycardia more than 90 beats per minute. Smokers, those who neglect physical activity and, conversely, athletes are also at risk. With excessive physical exertion, hypertrophy of the heart muscle occurs, a tendency to rhythm and conduction disturbances appears, so death from a heart attack is possible in physically healthy athletes during training, a match, or competitions.

Diagram: distribution of causes of SCD at a young age

For more careful monitoring and targeted examination groups of people at high risk of SCD have been identified. Among them:

1. Patients who have undergone resuscitation due to cardiac arrest or;
2. Patients with chronic heart failure and ischemia;
3. Persons with electric;
4. Those diagnosed with significant cardiac hypertrophy.

Depending on how quickly death occurred, instant cardiac death and rapid death are distinguished. In the first case, it occurs in a matter of seconds and minutes, in the second - within the next six hours from the onset of the attack.

Signs of sudden cardiac death

In a quarter of all cases of sudden death of adults, there were no previous symptoms; it occurred without obvious reasons. Other One to two weeks before the attack, patients noted a deterioration in their health in the form of:

• More frequent pain attacks in the heart area;
• Rise ;
• A noticeable decrease in performance, feelings of tiredness and fatigue;
• More frequent episodes of arrhythmia and interruptions in cardiac activity.

Before cardiovascular death, pain in the heart area increases sharply, many patients manage to complain about it and experience severe fear, as happens with myocardial infarction. Psychomotor agitation is possible, the patient grabs the heart area, breathes noisily and frequently, gasps for air, sweating and redness of the face are possible.

Nine out of ten cases of sudden coronary death occur outside the home, often against the background of strong emotional distress or physical overload, but it happens that the patient dies from acute coronary pathology in his sleep.

When ventricular fibrillation and cardiac arrest occur during an attack, severe weakness appears, dizziness begins, the patient loses consciousness and falls, breathing becomes noisy, and convulsions are possible due to deep hypoxia of the brain tissue.

Upon examination, pale skin is noted, the pupils dilate and stop responding to light, heart sounds cannot be heard due to their absence, and the pulse in large vessels is also not detected. In a matter of minutes, clinical death occurs with all its characteristic signs. Since the heart does not contract, the blood supply to all internal organs is disrupted, so within a few minutes after loss of consciousness and asystole, breathing disappears.

The brain is most sensitive to a lack of oxygen, and if the heart is not working, then 3-5 minutes are enough for irreversible changes to begin in its cells. This circumstance requires the immediate start of resuscitation measures, and the sooner chest compressions are provided, the higher the chances of survival and recovery.

Sudden death due to accompanying atherosclerosis of the arteries, then it is more often diagnosed in older people.

Among young Such attacks can occur against the background of spasm of intact blood vessels, which is facilitated by the use of certain drugs (cocaine), hypothermia, and excessive physical exertion. In such cases, the study will show no changes in the vessels of the heart, but myocardial hypertrophy may well be detected.

Signs of death from heart failure in acute coronary pathology will be pallor or cyanosis of the skin, rapid enlargement of the liver and neck veins, possible pulmonary edema, which is accompanied by shortness of breath up to 40 respiratory movements per minute, severe anxiety and convulsions.

If the patient has already suffered from chronic organ failure, but edema, cyanosis of the skin, an enlarged liver, and expanded borders of the heart during percussion may indicate a cardiac origin of death. Often, when the ambulance team arrives, the patient’s relatives themselves indicate the presence of a previous chronic illness; they can provide doctors’ records and hospital extracts, then the diagnostic issue is somewhat simplified.

Diagnosis of sudden death syndrome

Unfortunately, cases of post-mortem diagnosis of sudden death are not uncommon. Patients die suddenly, and doctors can only confirm the fact of a fatal outcome. At the autopsy, they do not find any pronounced changes in the heart that could cause death. The unexpectedness of the incident and the absence of traumatic injuries speak in favor of the coronarogenic nature of the pathology.

After the arrival of the ambulance team and before the start of resuscitation measures, the condition of the patient, who by this time is already unconscious, is diagnosed. Breathing is absent or too rare, convulsive, the pulse cannot be felt, heart sounds cannot be detected on auscultation, the pupils do not respond to light.

The initial examination is carried out very quickly, usually a few minutes are enough to confirm the worst fears, after which doctors immediately begin resuscitation.

An important instrumental method for diagnosing SCD is the ECG. With ventricular fibrillation, erratic waves of contractions appear on the ECG, the heart rate is above two hundred per minute, and soon these waves are replaced by a straight line, indicating cardiac arrest.

With ventricular flutter, the ECG recording resembles a sinusoid, gradually giving way to random waves of fibrillation and an isoline. Asystole characterizes cardiac arrest, so the cardiogram will show only a straight line.

With successful resuscitation at the prehospital stage, already in a hospital setting the patient will undergo numerous laboratory examinations, starting with routine urine and blood tests and ending with a toxicological study for certain drugs that can cause arrhythmia. Daily ECG monitoring, ultrasound examination of the heart, electrophysiological study, and stress tests will be required.

Treatment of sudden cardiac death

Since sudden cardiac death syndrome causes cardiac arrest and respiratory failure, the first step is to restore the functioning of life support organs. Emergency care should be started as early as possible and includes cardiopulmonary resuscitation and immediate transport of the patient to the hospital.

At the prehospital stage, the possibilities of resuscitation are limited; it is usually carried out by emergency specialists who find the patient in a variety of conditions - on the street, at home, at the workplace. It’s good if at the time of the attack there is a person nearby who knows her techniques - artificial respiration and chest compressions.

Video: Performing basic cardiopulmonary resuscitation

After diagnosing clinical death, the ambulance team begins chest compressions and artificial ventilation of the lungs with an Ambu bag, providing access to a vein into which medications can be injected. In some cases, intratracheal or intracardiac administration of drugs is practiced. It is advisable to administer drugs into the trachea during intubation, and the intracardiac method is used most rarely - when it is impossible to use others.

In parallel with the main resuscitation actions, an ECG is taken to clarify the causes of death, the type of arrhythmia and the nature of the heart’s activity at the moment. If ventricular fibrillation is detected, then the best method for stopping it will be, and if the necessary device is not at hand, then the specialist delivers a blow to the precordial area and continues resuscitation measures.

defibrillation

If cardiac arrest is determined, there is no pulse, there is a straight line on the cardiogram, then during general resuscitation the patient is administered adrenaline and atropine at intervals of 3-5 minutes, antiarrhythmic drugs by any available means, cardiac pacing is established, after 15 minutes sodium bicarbonate is added intravenously.

After the patient is admitted to the hospital, the fight for his life continues. It is necessary to stabilize the condition and begin treatment of the pathology that caused the attack. You may need surgery, the indications for which are determined by doctors in the hospital based on the results of examinations.

Conservative treatment includes the administration of drugs to maintain blood pressure, heart function, and normalize electrolyte metabolism disorders. For this purpose, beta blockers, cardiac glycosides, antiarrhythmic drugs, antihypertensive drugs or cardiotonics, and infusion therapy are prescribed:

• Lidocaine for ventricular fibrillation;
• Bradycardia is treated with atropine or isadrine;
• Hypotension is the reason for intravenous administration of dopamine;
• Fresh frozen plasma, heparin, aspirin are indicated for DIC syndrome;
• Piracetam is administered to improve brain function;
• For hypokalemia - potassium chloride, polarizing mixtures.

Treatment in the post-resuscitation period lasts about a week. At this time, electrolyte disturbances, disseminated intravascular coagulation syndrome, and neurological disorders are likely, so the patient is placed in the intensive care unit for observation.

Surgery may involve radiofrequency ablation of the myocardium - for tachyarrhythmias, the effectiveness reaches 90% or higher. If there is a tendency to atrial fibrillation, a cardioverter-defibrillator is implanted. Diagnosed atherosclerosis of the heart arteries as a cause of sudden death requires valvular heart surgery.

Unfortunately, it is not always possible to provide resuscitation measures within the first few minutes, but if it was possible to bring the patient back to life, then the prognosis is relatively good. As research data show, the organs of people who have suffered sudden cardiac death do not have significant and life-threatening changes, therefore maintenance therapy in accordance with the underlying pathology allows them to live for a long time after coronary death.

Prevention of sudden coronary death is needed for people with chronic diseases of the cardiovascular system, which can cause an attack, as well as for those who have already survived it and were successfully resuscitated.

To prevent a heart attack, a cardioverter defibrillator may be implanted, which is especially effective for serious arrhythmias. At the right moment, the device generates the impulse the heart needs and does not allow it to stop.

Requires medication support. Beta blockers, calcium channel blockers, and products containing omega-3 fatty acids are prescribed. Surgical prevention consists of operations aimed at eliminating arrhythmias - ablation, endocardial resection, cryodestruction.

Nonspecific measures to prevent cardiac death are the same as for any other cardiac or vascular pathology - a healthy lifestyle, physical activity, giving up bad habits, proper nutrition.

Video: Presentation on Sudden Cardiac Death

Video: lecture on the prevention of sudden cardiac death

The life and death of the wonderful Russian actor Yuri Demich date back to ancient Soviet and post-Soviet times. He was born three years after the end of the Great Patriotic War and the main peak of his work came in the 70s and 80s, when the public's interest and respect for acting was well deserved and natural. The cause of death of Yuri Demich was blood loss incompatible with life.

Yuri Demich is known to moviegoers for his many film roles, but his amazing theatrical work could only be appreciated by theater lovers of the northern capital who had the opportunity to visit the Leningrad Bolshoi Drama Theater. He was an actor from God - talented, fantastically able-bodied, versatile and unique.

Demich chose his profession following the example of his father, who became a victim of Stalinist repressions and spent 20 years in exile in Magadan, where Demich Jr. was born. Following the example of his father, who freely did somersaults at the age of 60, the young actor became interested in sports and kept himself in excellent physical shape for a long time.

Since childhood, he began to appear on stage with his father’s troupe of the Kuibyshev Drama Theater. M. Gorky, graduated from his studio, and then entered GITIS. In 1973, the role of Hamlet, masterfully played in Kuibyshev, became for Demich a ticket to the stage of the Leningrad Bolshoi Drama Theater. He captivated the audience, his colleagues, and the director A. G. Tovstonogov, who led the team, with his performance in the plays “Last Summer in Chulimsk” based on the play by Vampilov and “Three Bags of Weedy Wheat” by the master himself.

Having become one of the leading actors of this theater, Demich brilliantly played about 40 roles over 7 theater seasons and every time he went on stage, he was ready to play as if for the first time. In cinema, he was also often offered big roles, and in total there were almost 50 of them in 20 years. Such a powerful waste of energy, despite an excess of health, temperament and strength, could be disastrous. The actor began to drink a little and one day fell under the hot hand of Tovstonogov, an implacable opponent of drunkenness on stage.

Few know whether Demich was actually to blame, as the director was told, but he had to leave his native theater. This tragedy was not easy for the actor: having moved to the capital and joined the troupe of the Moscow Ermolov Theater, he began to lose control over his weakness. His theatrical repertoire shrank, although he was still invited to films. But he started drinking openly.

When Yuri Alexandrovich, having pulled himself together, began to establish a sober life, economic problems began in the country and it turned out to be difficult for him to find work. Demich earned money by traveling around Russia giving performances.

The nomadic life completely undermined his health. In December 1990, the actor began to experience severe bleeding, which doctors could not stop. The cause of Yuri Demich's death at the age of 42 was a rupture of the veins of the esophagus, which led to enormous blood loss.

He is buried at the Vagankovskoye cemetery in Moscow.

The atmosphere on our planet, the distance to the sun and many other incredible coincidences have led to the fact that life as we know it can exist on Earth. We take all this for granted, and we, rushing to work or relaxing at a table in a cafe, do not find anything surprising in our existence. But all good things come to an end. One day the Earth will become unsuitable for supporting life as we know it. Maybe this won't happen for millions of years. But astrophysics tells us that a catastrophe can happen at any moment. And scientists have found many reasons why the Earth can become lifeless.

1) The planet's core will cool down

2) The Sun will expand

3) The Earth will collide with a wanderer planet

4) The Earth will collide with an asteroid

5) The Earth may come close to a wandering black hole

6) The Earth will be destroyed by a burst of gamma radiation

7) The Universe will fall apart in its final “Big Rip”

The "primary devastation" phase

On the 5th day after irradiation, the level of most formed elements in the blood begins to fall - "primary devastation" phase.

Clinically, this phase manifests itself when the cell content decreases to a critically low level. This time determines the duration of the latent period.

Dose determination

total body irradiation according to the content of leukocytes in peripheral blood on days 7-9 after irradiation

The duration of the latent period is shorter, the higher the dose

irradiation:

With a mild form of ARS, the latent period may end after 30 days or more;

For moderate form – after 15-30 days;

In severe cases - after 5-20 days;

In extremely severe forms, there may be no latent period.

III. Height period.

Occurs when the number of blood cells drops below a critical level:

In addition, it is observed:

toxemia,

predominance of catabolism over anabolism,

vegetative dystonia,

autoimmune lesions.

But the basis of the lesion is a violation of the hematopoietic function.

IV. Recovery period

If death does not occur during the peak period

regenerative processes in the hematopoietic system lead to an increase in the number of mature blood cells

the symptoms of the peak period are eliminated.

During this period, complete or partial normalization of the functions of critical body systems occurs.

Prognosis for life with ARS:

Mild degree – favorable;

Moderate – favorable with proper treatment;

Severe – doubtful, even intensive complex therapy is not always successful.

Work ability with ARS:

Mild degree - preserved. During the 2nd month of illness, restriction of heavy physical labor is required;

Moderate degree - by the beginning of the 3rd month of illness, a return to light work is possible, and after a year - to normal activities;

Severe degree - performance is not fully restored. Light work is possible from the 4th month of illness.

Intestinal form of ARS:

With general irradiation at a dose of 10-20 Gy, the intestinal form of ARS develops, the basis of which is the intestinal syndrome.

It is associated with damage and death of small intestinal epithelial cells. The consequence of this damage is:

cessation of resorption of water from the lumen of the small intestine and

electrolytes

dehydration develops; disruption of the barrier function of the intestinal wall

toxic substances (E. coli toxins) enter

into the blood and lymph

During the height of the intestinal form of ARS:

health worsens,

diarrhea develops

body temperature rises,

oropharyngeal syndrome develops,

dehydration,

intoxication,

endogenous infection.

If treated, those affected with the intestinal form of ARS can live up to two or even two and a half weeks. Causes of death may be:

Pancytopenic syndrome;

Attachment of a secondary infection;

It is obvious that after the death of the USSR and socialism, the death of Russia itself is inevitable. It is the matter of time. The West, which destroyed the USSR with the help of traitors from the top of the Politburo of the CPSU Central Committee, will destroy Russia. By the way, also with the help of traitors: the Yeltsins, Chubais, Gaidars, Putins, Medvedevs, Nemtsovs, Yavlinskys and other Navalnys. It will destroy because Russia in its current form, large and numerous with nuclear weapons and missiles, is the main geopolitical enemy in the world. And there is always a danger that Russia will throw off its power - the proxies of the West, who have ruled Russia since 1991, and begin its revival. Since the Russians still have genetic memory and a thirst for justice, they can again revive the USSR or its analogue. Therefore, the West not only wants to deprive Russia of missiles and nuclear weapons, but also to split it into parts that conflict with each other. How the Russian Federation and Ukraine are now in conflict with each other, but once they were one. . Therefore, the West, with the help of its proteges who have ruled Russia for 27 years, is doing everything to prevent Russia from being revived and continuing to degrade. Until quantitative degradation turns into qualitative degradation, that is, into decay. Which will happen under the control of the West, just as the collapse of the USSR occurred. In new regions, the right guys will be put in new positions, who will faithfully serve the West. If necessary, the West, at the request of the Kremlin, will send in its troops to control the process and pacify the natives, that is, us.

At the moment, science and industry have already been virtually destroyed in Russia. They made medicine inaccessible, which has completely degraded in 27 years. First of all, due to the decline in the quality of doctors. Since education in the country has completely degraded. All food products in supermarkets and convenience stores are counterfeit. All without exception. What does not add health to people. But the main thing is the destruction of science and industry. While they are still in the country. Thanks to the legacy of the USSR. But the legacy ends. And soon we will have to forget about space, missiles and nuclear weapons. The country will forget how to make them. The machine tool and electronics industries have already been destroyed. Factories producing bearings were destroyed. Factories producing high-tech products that produced watches, cameras, optics, domestic televisions, radios, refrigerators, and household appliances were deliberately bankrupted and closed. Russia produces mainly low-value products. And at the few remaining enterprises producing high value-added products, the share of imports exceeds 50%. Moreover, the most complex parts and assemblies: engines and their components, electronics. And the few parts that Russia produces, stamped iron, are produced using imported equipment. At AvtoVAZ in Tolyatti, the share of imports is 55% and continues to grow. At the plant producing Superjets, the share of imports is 75-80%. Moreover, almost all other aircraft factories in Russia were destroyed. The personnel training system for production was also destroyed. Old staff are retiring due to age, and there is no replacement for them. Over 27 years, about 80% of factories were closed. Most of it under Putin. And they keep closing. Hundreds of thousands of scientists have left Russia for the West over the years, since since 1992, science in the country has actually not been funded. Let me remind you that the Kremlin is doing all this deliberately on instructions from the West.

Here is what the wonderful Russian writer Valentin Rasputin wrote about this: “A state that deliberately kills itself - this has never happened in the world.” For me, everything has long been obvious, like twice two. Russia is essentially an occupied country that was defeated during the Cold War. Perestroika was a joint special operation by the CIA and the top of the CPSU to destroy the USSR and socialism. As a result of perestroika, the West was able to place its own agents at the head of our country, which were specially trained to govern Russia starting in the mid-70s. Prepared by traitors from the top of the CPSU Central Committee. At the head of the anti-Soviet conspiracy were Andropov and Kosygin. Head of the KGB and Prime Minister. Both are members of the Politburo. Traitors - the modern Russian elite is held tightly by the West by the balls, since all the money of the elite, trillions of dollars stolen from Russia, is stored in Western banks. We are ruled by the Vlasovites of the 21st century, ruled by the administration of the occupied territory, which does everything the West wants. No wonder the three-striped “Vlasov flag” proudly flies over the Kremlin. Controlling a colony with the help of a corrupt elite is a method long ago worked out by the Anglo-Saxons in their colonies. Particularly in India. By the way, Russia is now also a colony. And not only raw materials.

Now let’s assume that the West doesn’t care about Russia. That he doesn’t care what happens to her, will Russia be reborn then? No. But the process of death and decay will drag on. Why will this happen?

Capitalism in the world is divided into capitalism of metropolitan countries and peripheral capitalism. For capitalism to flourish in metropolitan countries, markets are needed, someone needs to be robbed, beads and mirrors need to be exchanged for natural resources, for cheap labor. Someone needs to snag dollars, euros, pounds sterling. He printed beautiful pieces of paper, the price of which is pennies, and with them you can buy whatever you want in the states of peripheral capitalism. Including the leadership of these countries. So that it implements in its states the economic policy that was prescribed in the metropolitan countries. Which is dictated by the IMF, the World Bank and the WTO - surrogates that created metropolitan countries so that the states of peripheral capitalism live by certain rules, according to which they will never be able to get out of hunger and poverty. For example, the countries of Latin America, in which capitalism is more than 150 years old, and they have not advanced one step towards the developed capitalism of the metropolitan countries.

The main wealth in the world is natural resources. And there are not enough of them for everyone to live well. It is the metropolitan countries that rob states with peripheral capitalism, taking away their raw materials through deception, buying them for pennies so that they can live beautifully themselves. The same USA is 20% of world GDP, and they consume 35% of world resources. Moreover, the laws of capitalism, which are good for metropolitan countries, are completely unsuitable for states with peripheral capitalism. But the latter, with the help of the IMF, the World Bank, and the WTO, force them to comply with the laws of capitalism that apply in the metropolitan countries. But the same Japan performed its “Japanese miracle” by violating these laws; the Japanese took the Soviet economy of the 30s as a model. But the Japanese were allowed to do this, which is why I will write below.

Sometimes the question arises: is there capitalism in Russia now? Yes, capitalism, typical peripheral capitalism. Which is fundamentally different from the capitalism of the metropolitan countries. I have already explained above why this happens. There are not enough resources for everyone. If Russia begins to live richly, then the West will have to live poorer and consume less. Let's take Moscow. Why is it fattening, its standard of living is the same as in the Czech Republic, and in the rest of Russia, like in Africa? So Moscow robs the entire country, lives off it, produces nothing, but the elite, owners of companies and factories live in it, pay taxes in it.

Similar relations are developing between metropolitan countries and states with peripheral capitalism. TNCs have taken over most of the enterprises and companies in the states of peripheral capitalism and are transferring all profits to the metropolitan countries. They invest in their countries, in their countries they pay taxes on the money they earned in Russia and other states of peripheral capitalism. That's where a lot of money and high salaries come from. Local businessmen do the same when they transfer money to the West. Many people pay taxes there.

Why is almost no money invested in business development in states of peripheral capitalism? Everyone in the world cannot live richly. The rich are rich because 90% are poor. Therefore, the states of peripheral capitalism are deliberately prevented from developing industry with the help of the IMF, the World Bank and the WTO. Which impose suicidal economic policies on these states. Therefore, in these states conditions have been deliberately created that make it unprofitable to create new enterprises. High loans, high taxes on literally everything, bribe-taking officials, racketeering. And in Russia, for example, there is also state racketeering if other obstacles do not work. The state just comes and takes your business away from you if you don’t understand it in an amicable way. So, in essence, they took away Euroset from Chichvarkin and Magnit from Galitsky, buying them for pennies. By the way, Magnit eventually went to Lavrov’s son-in-law. Who is our Minister of Foreign Affairs.

They rob us and do not allow us to be reborn. They do not give through political and economic methods. And sometimes they use military force against the dissatisfied, as well as conspiracies, sabotage, they organize counter-revolutions, “color revolutions”, coups: Chile - 1973, Arab countries of North Africa - 2010, Ukraine - 2014. And personal hostility has nothing to do with it. Just BUSINESS.

That is, Russia, as a country of peripheral capitalism, will simply not be allowed to develop, will not be allowed to emerge from a state of eternal degradation. And is it destined, like other states of peripheral capitalism, to degrade for centuries? No, it's not meant to be. What is not so dangerous for other states is deadly for Russia. Russia is an empire, the largest state in the world, home to hundreds of peoples. And all weak empires fall apart. This is an axiom. Just as the Great Ancient Empires of past centuries fell apart, when they weakened: Egypt, Greece, Carthage, Rome, the Ottoman Empire, Austria-Hungary, so Russia will also fall apart. The inevitability that miraculously did not happen in 1917, when Russia was saved by the Bolsheviks, will happen in the 21st century. Here is what the liberal and dissident Andrei Amalrik wrote about this in 1978: “Just as the adoption of Christianity delayed the death of the Roman Empire, but did not save it from the inevitable end, so the Marxist doctrine delayed the collapse of the Russian Empire - the third Rome - but was unable to avert it ". It may be objected that in 1991 the breakup had already occurred. I answer. The disintegration of the empire occurs until individual self-sufficient nations become separate states. That is, the collapse of 1991 was not final. Alas.

From the two parts I wrote above, it follows that in any situation under capitalism, Russia will have the same outcome - collapse. Who is to blame - I wrote. What to do? Only under socialism can Russia be raised from its knees. Therefore, we need to think about how to restore the USSR at a new stage. Is this real? No. The West has everything under control. He will not make the mistakes of 1917. He suffered too many troubles because of the October Revolution. Moreover, with the modern level of science and technology, television, it is much easier to control and zombie the masses. So it's too late to drink Borjomi. The collapse of Russia will happen in any case. At the same time, the Russians themselves will not find it enough. You have to pay for stupidity! The collapse of the USSR and the death of socialism could not be allowed. And now the train has left. But this does not mean that you have to stop fighting. You have to fight to the end in order to remain human, not to become a slave, a stupid chomping man in the street.

PS. Often, when I explain to people that states of peripheral capitalism will not be allowed to become metropolitan countries, they tell me about Japan and South Korea. And post-war Germany is sometimes cited as an example. The thing is that the Anglo-Saxons after WWII could not do without allies. The USSR was too strong and powerful. And socialism began to raise its head in Europe. The Anglo-Saxons needed an outpost that would prevent socialism from spreading further in Europe. Therefore, Germany was helped to revive with the help of the Marshall Plan. They opened their markets to Germany. Moreover, Germany became a colony of the Anglo-Saxons. There are tons of US military bases in it. Similarly, an outpost was needed in the east. It became another Anglo-Saxon colony - Japan. As a counterbalance to the USSR and China. It also has many US military bases. To boost the Japanese economy, an analogue of the Marshall Plan was used. The USA, England and other Western countries opened their markets for it. At the same time, Japan was allowed to use the experience of the USSR in the 30s. To accelerate the growth of your economy, to achieve a breakthrough, when in ten years you need to do what other countries took a century. They similarly helped South Korea, as an outpost in the confrontation with the DPRK. By the way, the standard of living in the DPRK in 1970 exceeded the standard of living in South Korea. In 1975, their standard of living was equal. In the second half of the 70s, stagnation began in the USSR. Which also affected the DPRK. Therefore, in 1980, South Korea managed to overtake the DPRK in terms of GDP per person. And after the collapse of the USSR and the death of socialism in Europe, the economy of the DPRK collapsed. Because the economy of North Korea was focused on the socialist countries in Europe and the USSR. And the West imposed an economic embargo on North Korea. Therefore, GDP per person in the DPRK in 1995 fell four times compared to 1987. North Korea's GDP fell accordingly by three times over the same period.